KATHRYN ELAINE MILLER ROSE (NPI# 1316478878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316478878 |
| Entity Type | Individual |
| Full Name | KATHRYN ELAINE MILLER ROSE |
| Other Name | KATHRYN E ROSE |
| Practice Address |
1207 Lakeside Ln Mahomet IL 61853-9767 |
| Practice Telephone | 2178405455 |
| Mailing Telephone | 2178405455 |
| Enumeration Date | 2017-03-25 |
| Last Update Date | 2017-03-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | IL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | STATE PT LICENCE | 070.005074 | 01 |
| Street Address |
1207 LAKESIDE LN |
| City | MAHOMET |
| State | IL |
| Zip Code | 61853-9767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114437365 | Kurtz Counseling, LLC | Social Worker | 207 E Oak Street, Suite E, Mahomet, IL 61853 | 2017-10-02 |
| 1538378757 | Gray Clinic of Chiropractic, Ltd | Chiropractor | 207 E. Oak St, Mahomet, IL 61853 | 2007-05-22 |
| 1730391269 | Downstate Chiropractic Center | Chiropractor | 1002 Commercial Drive, Suite 4, Mahomet, IL 61853 | 2007-05-04 |
| 1861547515 | John Thomas Karich | Dentist | 406 E Oak St, Mahomet, IL 61853 | 2007-01-24 |
| 1700975653 | Nezar Ahmed Kassem | Dentist | 2012 Tin Cup Road, Suite B, Mahomet, IL 61853 | 2006-10-11 |
| 1285737957 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 804 B Eastwood Drive, Mahomet, IL 61853 | 2006-09-07 |
| 1083663918 | Randall A Megeff | Emergency Medicine | 1001 Heather Drive, Mahomet, IL 61853 | 2006-05-08 |
| 1811129836 | Laughton Chiropractic Clinic, LLC | Chiropractor | 417 Main Street, Mahomet, IL 61853 | 2009-08-10 |
| 1629227392 | Valerie Woodruff Dds PC | Dentist | 200 N Eastwood Drive, Mahomet, IL 61853 | 2008-09-17 |
| 1386721090 | Jean L Husmann | Physician Assistant | 1001 Heather Drive, Mahomet, IL 61853 | 2006-11-01 |
| Find all providers in zip 61853 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619515665 | People Overcoming With Everlasting Results, Inc. | Day Training, Developmentally Disabled Services | 6400 W Main St Ste 1f-3, Belleville, IL 62223-3806 | 2019-12-19 |
| 1386132520 | It Takes A Community LLC | Day Training, Developmentally Disabled Services | 9046 S Justine St, Chicago, IL 60620 | 2018-04-24 |
| 1215424460 | Victor C. Neumann Association | Day Training, Developmentally Disabled Services | 4434 W Diversey Ave, Chicago, IL 60639-1939 | 2018-04-13 |
| 1194212399 | Victor C Neumann Association | Day Training, Developmentally Disabled Services | 4122 N Nashville Ave, Chicago, IL 60634-1429 | 2018-04-13 |
| 1952825770 | Help At Home, LLC | Day Training, Developmentally Disabled Services | 1 N State St Ste 800, Chicago, IL 60602-3312 | 2017-08-02 |
| 1063943645 | Lf Walls Corp | Day Training, Developmentally Disabled Services | 1404 Fox Hound Trl, Beecher, IL 60401-5106 | 2017-03-24 |
| 1285186254 | Dorr-wood Ltd | Day Training, Developmentally Disabled Services | 1001 Rail Dr, Woodstock, IL 60098-9411 | 2016-10-26 |
| 1558818930 | Autismchicago | Day Training, Developmentally Disabled Services | 8035 S Wabash Ave, Chicago, IL 60619-3516 | 2016-09-02 |
| 1518411594 | Transitions of Western Illinois | Day Training, Developmentally Disabled Services | 631 N 48th St, Quincy, IL 62305-7918 | 2016-08-08 |
| 1487107538 | Dewitt County Human Resource Center | Day Training, Developmentally Disabled Services | 10840 State Rte 10e, Clinton, IL 61727-8927 | 2016-07-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.